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UAMS - University of Arkansas for Medical Sciences · 3 months ago

Intermediate Clinical Billing Specialist

Little Rock

Full-time

Onsite

Entry, Mid Level

$17.50/hr - $17.50/hr

2+ years exp

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. The Intermediate Clinical Billing Specialist is responsible for timely and accurate management of payer rejections, ensuring claims go out to the payer within timely filing deadlines with a goal of clean claim submission.

EducationHealth CareNon Profit

No H1B

Responsibilities

Complete electronic and paper specialized billing while reviewing claims for accuracy on all accounts assigned

Review and correct all claims that fail the billing system edits daily to ensure accurate and timely submission on accounts

Document all actions that are taken on accounts in the system account notes to ensure all prior actions are noted

Submit all corrected claims within time frames assigned by management or documents reasons for delays in EPIC

Complete review of claims in Change Health and notes in EPIC to delete duplicate claims from Change Health

When updating coverage, review accounts in EPIC and Change Health to make sure a claim is Demanded in EPIC to avoid duplicate billing

Contact the payer or patient when additional information is required to bill the account

Immediately report all new claim billing issues to management to coordinate with other departments and the electronic billing vendors to resolve barriers

Answer questions and provide appropriate information to fellow team members regarding the billing process and requirements. When unsure of a process, follow up with Management on questions/concerns

Identify ways to improve billing processes and provides recommendations for new or revised procedures. Collaborate with management on effective changes related to billing, achieving optimal financial outcomes, and compliance with regulations

Stay abreast of the latest developments, advancements, and trends in the field of medical billing by attending in-services, reviewing online information, and reading information from payers and fiscal intermediaries

Follow up with payers to ensure timely reimbursement

Work well with other departments to ensure accounts are worked appropriately and timely

Participate in compliance and regulatory programs

Work effectively in a team environment, coordinating workflow with other team members and ensuring a productive and efficient environment

Comply with safety principles, laws, regulations, and standards associated with, but not limited to CMS, Joint Commission, EMTALA, and OSHA

Demonstrate a high level of integrity and innovative thinking and actively contributes to the success of the organization

Complete all required reports accurately and timely

Demonstrate positive working relationships with co-workers, management team, and ancillary departments

Assume responsibility for completing or assisting on special projects as assigned by the manager

Adhere to UAMS and Centralized Business Office Department-related policies and procedures

Adhere to UAMS confidentiality and HIPAA policies

Participate in regular review and utilize feedback for continued quality improvement

Maintain good working relationships with patients and families, visitors, physicians and other employees; fellows hospital guest relations guidelines and 'Circle of Excellence' criteria

Performs other duties as assigned

Qualification

Medical billingEPIC experienceHealthcare revenue cycleCPT codingICD 10 codingHCPCS codingBasic accounting skillsWindows environmentDetail orientedVerbal communicationWritten communication

Required

Bachelor's degree in a related field OR associate's degree in a related field plus two (2) years of experience in a healthcare revenue cycle related function OR High School diploma/GED plus four (4) years of experience in a healthcare revenue cycle related or bookkeeping function

Preferred

Six (6) months of medical billing experience preferred with a basic understanding of CPT and ICD 10, and familiarity with the Windows environment and billing software

Basic understanding of HCPCS coding

EPIC experience

Proof of Veteran Status

Benefits

Health: Medical, Dental and Vision plans available for qualifying staff and family

Holiday, Vacation and Sick Leave

Education discount for staff and dependents (undergraduate only)

Retirement: Up to 10% matched contribution from UAMS

Basic Life Insurance up to $50,000

Career Training and Educational Opportunities

Merchant Discounts

Concierge prescription delivery on the main campus when using UAMS pharmacy

Company

UAMS - University of Arkansas for Medical Sciences

Glassdoor3.6

UAMS is the state’s only comprehensive academic health center, with colleges of Medicine, Nursing, Pharmacy, Health Professions and Public Health; a graduate school; a hospital; a northwest Arkansas regional campus; a statewide network of regional centers; and seven institutes: the Winthrop P.

Founded in 1879

Little Rock, Arkansas, USA

10001+ employees